Security and preparation of patient on discharge process of UTI: systematic review of literature for a clinical protocol

Kyra Vianna Alochio, Isabel Cristina Fonseca da Cruz


The Goal was to support scientific literature that could bring evidence on actions that cooperate and enable safe behavior in the patient transition from hospital to discharge. In order to do that, a systematic and electronic literature search was used. The Data collection was preceded in virtual bases (LILACS, MEDLINE) and PubMed from May to October 2015. There were 20 pieces of literature listed that have been presented in systematized form. The discussions demonstrated the effectiveness of using clinical scales as predictors of customers in the discharge criteria and the use of cards as a way of demonstrating how to perform care in the home environment. In conclusion, even though features such as scales and cards are effective, professional clinical approach cannot be ruled out, as these instruments require careful evaluations before use.


Discharge; Patient Safety; Attitude of Health Personnel.

Full Text:



- Silva MCM, Regina MCS de, Padilha KG. Patient Destination after Discharge from Intensive Care Units: Wards or Intermediate Care Units? Rev. Latino-Am. Enfermagem [Internet] 2010 Apr [cited 2015 Jun 24]; 18(2): 224-232. Available from: DOI:

- Reis PGTA, Nakakogue C, Nakakogue T, Nasr A, Tomasich FDS, Collaço IA. Orientações de alta: cartões padronizados ajudam na compreensão dos pacientes do pronto socorro?. Rev. Col. Bras. Cir. [internet]. 2013 [cited 2015 Nov 01]; 40(4):335-341. Available from:

- Ferraz VS, Carmona EV, Lima MHM. Planejamento da alta hospitalar do paciente diabético: construção de uma proposta. Rev. esc. enferm. USP [Internet]. 2011 Apr [cited 2015 July 22] ; 45(2):527-532. Available from: DOI:

- Terry CL. Enfermagem em terapia intensiva desmistificada: um guia de aprendizado. Porto Alegre: AMGH; 2013, 480 p.

- Ministério da Saúde (Brasil). Documento de referência para o Programa Nacional de Segurança do Paciente. Brasília : Ministério da Saúde; 2014. 40 p.

- - Santos CMC, Pimenta CAM, Cuce NMR. A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Rev. Latino-Am. Enfermagem [Internet]. 2007 June [cited 2015 Dec 01] ; 15( 3 ): 508-511. Available from:

- Williams TA, Leslie G, Finn J, Brealey L, Asthifa m, Hay B, et al. Clinical Effectiveness of a Critical Care Nursing Outreach Service in Faciliting Discharge From the Intensive Care Unit. Am J Crit Care. [internet] 2010 Sept [ cited 2015 Oct 10]; 19: e63-e72. Available from:

- Wagner J, Gabler NB, Ratcliffe SJ, Brown SE, Strom BL, Halpern SD. Outcomes among patients discharged from busy intensive care units. Ann Intern Med. [internet] 2013 Oct 1 [cited 2015 Aug 08]; 159(7): 447–455. Available from: DOI:10.7326/0003-4819-159-7-201310010-00004.

- Jerônimo RAS. Técnicas de UTI. 2ªEd. São Paulo: Rideel, 2001.

- Cardoso LGS, Chiavone PA. APACHE II medido na saída dos pacientes da Unidade de Terapia Intensiva na previsão da mortalidade. Rev. Latino-Am. Enfermagem. 2013 maio-jun.; 21(3):[09 telas].

- Fortes JI. Enfermagem em Emergências: Noções básicas de atendimento pré-hospitalar. 2[ Ed. São Paulo: EPU, 2008.

- Teixeira C, Cabral CR, Hass JS et al. Exarcebação Aguda da DPOC: mortalidade e estado funcional dois anos após a alta da UTI. J Bras Pneumol. [internet] 2011[cited Nov 20 2015]; 37(3):334-340.

- Araujo TG, Mello MR, Kutchak FM, Franco Filho JW. Readmissões e óbitos após a alta da UTI – um desafio da terapia intensiva. Rev. bras. ter. intensiva. [internet] 2013 Jan-Mar [cited 2015 Sept 12]; 25(1): 32-38. Available from:

- Silva SA, Valacio RA, Botelho FC, Amaral CFS. Fatores de atraso na alta hospitalar em hospitais de ensino. Rev. Saúde Pública [online]. 2014. July [cited 2015 July 22]; (48): 2: 314-321. Available from: DOI: 10.1590/S0034-8910.2014048004971.

- Laupland KB, Misset B, Souweine B, Tabah A, Azoulay E, Goldgran-Toledano D. Mortality associated with timing of admission to and discharge from ICU: a retrospective cohort study. BMC Health Serv Res [internet] 2011 [cited 2015 Sept 16]; 11: 321. Available from: DOI:

- Contrin LM, Paschoal VDA, Beccaria LM, Cesarino CB, Lobo SMA. Quality of Life of Severe Sepsis Survivors After Hospital Discharge . Rev. Latino-Am. Enfermagem [Internet]. 2013 June [cited 2015 Oct 05]; 21(3): 795-802. Available from: DOI:

- Cuthbertson BH, Roughton S, David Jenkinson3, MacLennan G, Vale L. Quality of life in the five years after intensive care: a cohort study. Critical Care [intenet]. 2010 [cited 2015 Sept 12]; 14:R6. Available from

- Vesz PA, Costanzi M, Stolnik D, Dietrich C, Freitas KLC, Silva LA et al . Aspectos funcionais e psicologicos imediatamente apos alta da Unidade de Terapia Intensiva: coorte prospectiva. Rev. bras. ter. intensiva [Internet]. 2013 Set [cited 2015 Jun 24] ; 25( 3 ): 218-224. Available from: DOI:

- Curzel J, Forgiarini Junior LA, Rieder MM. Avaliação da independência funcional após alta da unidade de terapia intensiva. Rev. bras. ter. intensiva [Internet]. 2013 Jun [citado 2015 Jun 24]; 25(2): 93-98. Available from: DOI:

- McPhail S, Haines T. Patients Undergoing subacute rehabilitation have accurate expectations of their health-related quality of life at discharge. Health and Quality of Life Outcomes [internet] 2012 [cited 2015 Oct 5]; 10:94. Available from:

- Dejong G, Weqioang T, Ching-Hui H, Cherry J; Karam C, Ballard PH. Rehospitalization in the First Year of Traumatic Spinal Cord Injury After Discharge From Medical Rehabilitation. Archives of Physical Medicine and Rehabilitation [internet] 2013 [cited 2015 Oct 10]; 94(Suppl 2):S87-97. Available from: DOI:

- Pineda RG, Castellano A, Rogers C, Neil JJ, Inder T. Factors Associated with Developmental Concern and Intent to Access Therapy Following NICU Discharge. Pediatr Phys Ther. [internet] 2013 April [cited 2015 Nov 12] ; 25(1): 62–69. Available from: doi:10.1097/PEP.0b013e31827a822c.

- Choi J, Donahoe MP, Zullo TG, Hoffman LA .Caregivers of the chronically critically ill after discharge from the intensive care unit: six months' experience. Am J Crit Care. [internet] 2011 Jan [cited 2015 Oct 23]; 20(1):12-22; Available from: DOI: 10.4037/ajcc2011243.

- Kind AJ, Thorpe CT, Sattin JA, Walz SE, Smith MA. Provider characteristics, clinical-work processes and their relationship to discharge summary quality for sub-acute care patients. J Gen Intern Med [internet] 2012 Jan [ cited 2015 Sept 20]; 27(1): 78-84.Available from:

- Walz SE, Smith M, Cox E, Sattin J, Kind AJ. Pending laboratory tests and the hospital discharge summary in patients discharged to sub-acute care. J Gen Intern Med [internet] 2011 apr [cited 2015 Sept 12 ]; 26(4): 393-8. Available from:

- Hosein FS, Bobrovitz N, Berthelot S, Zygun D, Ghali WA, Stelfox HT. A systematic review of tools for predicting severe adverse events following patient discharge from intensive care units. Crit Care [internet] 2013 [ cited 2015 Sept 13 ]; 17(3): R102. Available from:


Share |